Organization Active NPI

Midland Care Connection, Inc.

  • Adult Day Care Clinic/Center
  • Topeka, KS
National Provider Identifier
1477949196
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
B089057 Issued in KS
Legal business name
MIDLAND CARE CONNECTION, INC.
Practice address
130 SW Frazier Ave
Topeka, KS 66606-2812
Phone
(785) 232-2044
Fax
(785) 232-5567
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Shawn Sullivan
Title
Ceo
Phone
(785) 232-2044

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X B089057 KS Primary
Adult Day Care Clinic/Center 261QA0600X B02313 KS

Addresses

Primary practice location

130 SW Frazier Ave
Topeka, KS 66606-2812

Mailing address

200 SW Frazier Cir
Topeka, KS 66606-2800
Phone (785) 232-2044

Other identifiers 1

IdentifierTypeStateIssuer
100117670CMedicaidKS

Other names 1

  • Midland Care Adult Day Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Midland Hospice Care in4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1477949196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SW FRAZIER CIR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062800",
            "telephone_number": "785-232-2044",
            "fax_number": "785-232-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SW FRAZIER AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062812",
            "telephone_number": "785-232-2044",
            "fax_number": "785-232-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND CARE CONNECTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-232-2044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KS",
            "license": "B089057",
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KS",
            "license": "B02313",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100117670C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midland Care Adult Day Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midland Care Adult Day Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.